Carrington, Susan R

Carrington, Susan R is an individual health care provider with primary practice located at 303 S Highway 78 Ste 106 , Wylie TX 75098-3915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carrington, Susan R can be contacted via phone (972) 433-5455.

Contact Information

Primary practice address
303 S Highway 78 Ste 106 Wylie TX 75098-3915
Phone: (972) 433-5455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 760812 Texas

Profile Details

NPI number 1821322140
LBN Legal business name Carrington, Susan R
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Nov 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821322140 NPPES
Texas MEDICAID 392182702
Texas MEDICAID 382182702

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